SIERRA PEMBROKE MS
NPI 1053293803
Counselor - Mental Health in Barre, VT
About Sierra Pembroke Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIERRA PEMBROKE MS (NPI 1053293803) is an individual mental health provider in Barre, Vermont, licensed in Vermont (068.0137112) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Montpelier, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sierra Pembroke Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sierra Pembroke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Barre, VT 05641
- Reassigned Medicare billing, Vermont enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BARRE, VT 05641
BARRE, VT 05641
BARRE, VT 05641
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sierra Pembroke's NPI number?
The NPI number for Sierra Pembroke is 1053293803. It was assigned to this individual provider in the NPPES registry on July 23, 2025.
Where is Sierra Pembroke located?
Sierra Pembroke practices at 23 Summer St, Barre, VT 05641. The listed phone number is (802) 479-4055.
What is Sierra Pembroke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sierra Pembroke enrolled in Medicare?
Yes. Sierra Pembroke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sierra Pembroke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Pembroke reassigns Medicare benefits to Washington County Mental Health Services, Inc. (Barre, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sierra Pembroke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sierra Pembroke accept?
Health plans from Harvard Pilgrim Health Care list Sierra Pembroke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sierra Pembroke was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sierra Pembroke, MS · NPI 1053293803
Mental Health provider in Barre, Vermont. Individual provider, active in the CMS NPPES registry since July 23, 2025.
## Identity
- **NPI:** 1053293803 (Entity type: Individual)
- **Enumerated:** July 23, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 068.0137112 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 23 SUMMER ST, Barre, VT 05641-3741
- **Phone:** (802) 479-4055 · **Fax:** (802) 661-5699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Washington County Mental Health Services, Inc. (NPI 1710901939, Barre, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 16, 2026
- **Other identifiers:** Medicaid 6722978 (VT); Medicaid 6721318 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1053293803) · Data from the CMS NPPES public registry.